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ACTIVATION FORM

IMPORTANT: Please fax to (02) 325-2377


or e-mail cardactivation@eastwestbanker.com

To activate your credit card, kindly fill-out the form below and submit together with a clear copy of one (1) valid ID with picture
and signature (e.g. Company ID, Driver’s License, Passport, Professional Regulation Commission (PRC) ID, SSS ID, BIR ID,
Voter’s ID, etc.) via email at cardactivation@eastwestbanker.com or fax at (02) 325-2377. Should you have any concern, you
may call our 24-Hour Customer Service Hotline at (02) 888-1700.

EastWest Credit Card Number (Please indicate the first 6 digits and last 4 digits of your EastWest Credit Card number.) AGREEMENT
I hereby certify that all information given in this document are complete, true and correct and that my
- X X- X X X X- signature herein is genuine.

Cardholder’s Name Disclosure and Sharing of Information


I hereby authorize EastWest to conduct random verification with the BIR, any other appropriate government
Last Name First Name Middle Name agencies or third parties including banks and financial institutions to establish the authenticity of the
information I declared and I further hereby waive all confidentiality rules and laws, such as R.A. 1405, as
Birthdate (MM/DD/YY) Place of Birth Citizenship/Nationality amended, Data Privacy Act of 2012, among others, as applicable.
Filipino
Others _______________ ACR No. _________ I hereby authorize the transfer, disclosure and communication of EastWest of any information relating to my
Tax Identification Number (TIN) SSS/GSIS Number account/s with EastWest to any of its offices, branches, subsidiaries, affiliates, agents and representatives
of EastWest and third parties for data processing/storage, customer satisfaction surveys, and for any other
purpose as EastWest may deem appropriate, and as may be required by law or regulation.
Present/Home Address I hereby also authorize the regular submission and disclosure to any and all credit information service
providers such as, but not limited to, Credit Card Association of the Philippines, Credit Information
No. Street Village/Brgy/Municipality Corporation, BSP, Anti-Money Laundering Council, Banker’s Association of the Philippines, any information,
whether positive or negative relating to my basic credit data (as defined under R.A. No. 9510) with
EastWest as well as any updates or corrections thereof. The foregoing constitutes my written consent for
any such submission and disclosure of information relating to my account/s for the purpose indicated above
City/Province Zip Code and under applicable laws, rules and regulations.
Permanent Address Please check if same as Present/Home Address
I agree to hold EastWest free and harmless from any liabilities that may arise from any transfer, disclosure
or storage of information relating to my account/s.
No. Street Village/Brgy/Municipality
Marketing and Sales Offers
I hereby authorize the transfer, disclosure and communication of EastWest of any information relating to my
City/Province Zip Code account/s with EastWest to any of its offices, branches, subsidiaries, affiliates, agents and representatives
of EastWest and third parties for product and service offers to be made to me through mail/e-mail/fax/SMS
Home Phone Number Mobile Phone Number E-mail Address or telephone, and for any other purpose as EastWest may deem appropriate, unless I expressly notify
(If provincial, include area code)
EastWest otherwise through the following Customer Service contact information:

Source of Funds Employment Customer Service Hotline: 888-1700; Domestic Toll-Free Hotline: 1-800-1888-8600;
E-mail: cards@eastwestbanker.com
Salary/Benefits Remittance Self-Employed Retired
Allowances Retirement/Separation Government Others _______________
By signing below, I agree to abide by the Terms and Conditions Governing the Issuance and Use of EastWest
Business Income Others _______________ Private
Credit Cards as found in the Bank’s website. I also authorize EastWest, at its own discretion, to activate my
Position/Rank Job Title/Occupation EastWest Credit Card. I also agree to be bound by any and all amendments thereto as well as all laws, rules,
Clerk Officer-Senior/Manager Self-Employed/Proprietor regulations and official issuances applicable to EastWest which may hereinafter be issued, as well as such
Officer-Junior/Supervisor Executive (AVP & up) Others _______________ other terms and conditions governing the use of other facilities, benefits, products or services which shall be
made available to me.
Company/Business Name Nature of Present Business
Banking Real Estate I also agree that EastWest may change any of the provisions in its Terms and Conditions and the fees and
BPO Others _______________ charges for its products and/or services from time to time and I agree to be notified of such changes through
Government notice sent to me through any of the following means, at the discretion of EastWest unless I request
Company/Business Address otherwise: (i) mailed and/or emailed notices (sent to my mailing or email addresses indicated in EastWest’s
records), (ii) notices posted at EastWest’s branches or (iii) notices in its website.
Floor Bldg. No. Street

Signature of Cardholder over Printed Name Date


Village/Brgy/Municipality City/Province Zip Code
Company/Business Phone Number No. of Years with Gross Annual Income
(Include local/extension and if provincial, include area code) Present Employer/ By signing in this section, I agree that this Activation Form shall also serve as my application for other
Business products of EastWest, such as, but not limited to, home loan, auto loan, personal loan, among others, as I
may subsequently request from EastWest or if I am deemed qualified by EastWest. I undertake to submit
additional documents as may be required by EastWest for the processing of my application. I understand
EastWest is regulated by the Bangko Sentral ng Pilipinas. For inquiries or complaints, you may call that the issuance of additional product/s of EastWest shall be subject to credit evaluation and the approval
EastWest’s 24-Hour Customer Service at (02) 888-1700 or 1-800-1888-8600 Domestic Toll-Free, email shall be subject to the discretion of EastWest and that the availment of the additional product/s is my/our
cards@eastwestbanker.com or text EWBCS<space><your message> and send to 2327 for Globe option. I understand that EastWest can rely on the authority/ies given under this section unless I explicitly
subscribers or (0917) 890-2327 for other networks. Similarly, you may also contact the BSP Financial revoke the same.
Consumer Protection Department at (02) 708-7087.

Updated as of April 2016 Signature of Cardholder over Printed Name Date

EWB-2016.04.44.01

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